June 2014 Imaging Case of the Month

Michael B. Gotway, MD

Department of Radiology

Mayo Clinic Arizona

Scottsdale, AZ

Clinical History: A 63-year-old man with a history of early-stage Parkinson disease and coronary artery disease presented with a painful “lump” in the lower left neck. Frontal and lateral chest radiography (Figure 1) was performed.

Figure 1. Frontal (panel A) and lateral (panel B) chest radiograph.

Which of the following statements regarding the chest radiograph is most accurate?

1. The chest radiograph shows a mediastinal mass
2. The chest radiograph shows an asymmetric linear, interstitial pattern
3. The chest radiograph shows bilateral symmetric linear and reticular opacities
4. The chest radiograph shows multifocal, bilateral consolidation
5. The chest radiograph shows numerous small nodules

Reference as: Gotway MB. June 2014 imaging case of the month. Southwest J Pulm Crit Care. 2014;8(6):320-7. doi: http://dx.doi.org/10.13175/swjpcc074-14 PDF